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Omicron is filling up Canada’s hospitals. Your health issue might not qualify, doctors say – Global News

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Five-year-old Rossy Hipkin was just one week away from a surgery that could have changed his life, according to his mom. That surgery might have, for the first time, allowed him to use his arms.

Then came the email: his Nov. 25 operation was cancelled because of COVID-19, a doctor wrote.

“It was hard. We’d been building him up, … telling him, ‘You’re going to get muscles’ and ‘You’re going to be able to use your arms,’ and things like that,” said Corina Heppner, Rossy’s mom.

“And then we have to say, ‘Well, you’re not going to get your muscle.’”

Facebook/Corina Heppner

Over a month later, Rossy still hasn’t had his surgery. And he’s not alone.

Hospitals across Canada have been forced to cancel and delay surgeries as COVID-19 cases fill up hospital beds and strain resources, according to doctors working on the front lines. There’s a risk that if Omicron cases keep trending upwards, emergency care — a hospital’s ability to quickly respond to everything from a sprained wrist to a heart attack — could be impacted too, according to Dr. Gerald Evans, an infectious disease specialist at Queen’s University in Kingston, Ont.

Read more:

Omicron FAQ: Everything you need to know about the COVID-19 variant

“We’re all afraid that our ability to continue to do that emergent care is really, really being taxed by the staff absences and of course, the large influx of patients with Omicron.”

What does an overwhelmed hospital look like?

When hospital capacity gets strained, one of the first actions hospitals can take is to cancel or delay what they describe as “non-urgent” surgeries. It’s a step that provinces like Ontario, British Columbia, Quebec and Alberta have taken to help reckon with the Omicron wave.

But just because an operation isn’t seen as “urgent,” doesn’t mean it’s not essential for someone’s quality of life, according to medical experts. Elective surgery “simply means that the surgery can be scheduled in advance,” Johns Hopkins Medicine says, and it “does not always mean it is optional.”

“Even stuff that is deemed non-essential is still important,” said Dr. Christopher Labos, a cardiologist and epidemiologist.

“If you’re somebody who’s waiting for a hip replacement and that just keeps getting delayed and delayed and delayed, you’re going to be living with chronic pain for months, if not years.”


Click to play video: 'COVID-19: Overcapacity Quebec hospitals to transfer patients to CHSLDs'



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COVID-19: Overcapacity Quebec hospitals to transfer patients to CHSLDs


COVID-19: Overcapacity Quebec hospitals to transfer patients to CHSLDs

Over half a million fewer surgeries were performed across Canada during the first 16 months of the COVID-19 pandemic compared to previous years, according to a report from the Canadian Institute for Health Information (CIHI), published last month. The bulk of that decline happened in the early months of the pandemic.

In Ontario alone, there were 34 per cent fewer adult cancer surgeries, 44 per cent fewer cardiac surgeries, and 93 per cent fewer pediatric surgeries during the first month of the pandemic, according to a letter Ontario Health CEO Matthew Anderson wrote to hospital CEOs on June 15, 2020.

But the latest wave is still having a real impact on non-urgent procedures, Evans said.

“A lot of things that people require for their health that may be not-urgent or not-emergent tend to be a little bit more difficult to accommodate when there are large numbers of patients in the hospital,” he explained.

That includes surgeries like Rossy’s bid to gain the use of his arms. Rossy suffers from Arthrogryposis Multiplex Congenita, which limits his joints and range of motion. He can’t use his arms from the shoulder down, but surgery would have moved some muscle from his leg to his arm, and that could have helped him regain some movement.

“The hardest part is when you hear, ‘Well, it only affects the vulnerable’ or ‘Only the high risk and the vulnerable are dying,’” said Heppner, Rossy’s mom.

“To us, that sounds like you’re telling us that our kids don’t matter.”

Read more:

Tens of thousands of non-urgent procedures expected to be delayed in Ontario in coming weeks

As children like Rossy wait for non-urgent — but life-changing — surgery, doctors like Evans are worried that the rising Omicron cases could start to impact emergency medicine, too. Emergency care can be “as simple as a sprained ankle” or “complicated, like a heart attack or a stroke.”

“That’s the kind of care that you can’t defer,” Evans said.

“That person needs immediate attention.”

How is Omicron overwhelming hospitals?

The Omicron variant of COVID-19 is spreading fast around the world, including in Canada.

On Tuesday, Canada reported over 34,000 new COVID cases and 74 deaths, for a total of over 400,000 active cases. But a number of provinces have restricted their COVID-19 testing as they drown in demand, prompting the Public Health Agency of Canada to warn that daily case counts are likely underestimating the true burden of disease.

As of Jan. 3, 4,106 of these COVID-19 patients were reportedly being cared for in Canadian hospitals — more than double the 1,919 patients reported just one week prior on Dec. 27.


Click to play video: 'Omicron cases pushing Ontario hospitals to the brink on both capacity and staffing'



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Omicron cases pushing Ontario hospitals to the brink on both capacity and staffing


Omicron cases pushing Ontario hospitals to the brink on both capacity and staffing

According to Health Canada, 640 of these patients were in intensive care units as of Jan. 3, while 274 were mechanically ventilated.

New data also indicates that 46 per cent of people currently in Ontario hospitals with COVID-19 were admitted for other reasons, meaning their COVID infection isn’t what put them in the hospital — it was just discovered when they arrived.

“It’s pretty clear that as hospitalizations go up and up and up, there will come a point where the hospital system becomes overwhelmed,” Labos said.

“We have to be aware of the fact that unless we can bend the curve in a significant way, we’re going to start to have a major issue in the very next little while.”

It’s not just hospital admissions, either. With the highly transmissible Omicron variant ripping through Canadian communities, health-care workers are getting sick, too.

“As health-care workers get sick and you have less personnel, sometimes you have to close beds simply because you don’t have the personnel to actually staff them,” Labos explained.

“So as more and more people are waiting for fewer and fewer beds that are available, that creates longer lines — and so you may end up waiting in the emergency room to get a bed for days, frankly.”

How do we prevent COVID from overwhelming hospitals?

The main thing Canadians can do to prevent COVID-19 from overwhelming hospitals right now is to follow public health advice: reduce their contacts and get vaccinated.

“If we can keep cases down, it means staffing levels can be maintained at hospitals. It means we will not be stressing out the hospitals as much with COVID admissions. That’s the big thing that we can do at the moment,” Evans said.

“Public health measures, getting third shots into people, are all important parts of it, as well as some of the measures that have been put into place to reduce social contact. And that’s working.”

Read more:

Don’t treat Omicron COVID-19 variant like the flu, WHO warns

Canadians can greatly reduce their risk of overwhelming the hospitals if they get their vaccines, according to government data. In its Tuesday epidemiological update, the government reported that compared to unvaccinated cases, fully vaccinated cases were “79 per cent less likely to be hospitalized” and “71 per cent less likely to die as a result of their illness.”

It’s something Dr. Michel Haddad, the chief of staff at Bluewater Health in Sarnia, has witnessed firsthand.

“About 60 per cent of our admitted hospitalized patients are unvaccinated, which is more than the provincial (rate) and 90 per cent of ICU are unvaccinated, which is also much more than the provincial (rate),” he said.


Click to play video: 'Alberta health minister says 15,000 surgeries delayed during 4th wave of COVID-19'



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Alberta health minister says 15,000 surgeries delayed during 4th wave of COVID-19


Alberta health minister says 15,000 surgeries delayed during 4th wave of COVID-19 – Nov 4, 2021

Heppner, who is still waiting for her son’s surgery, says Canadians “shouldn’t wait until COVID affects them directly” before they take steps to protect others, like getting vaccinated or following public health advice.

“I feel like it’s the bare minimum that we can do to possibly help others,” Heppner said.

“Not just my child, but other children.”

© 2022 Global News, a division of Corus Entertainment Inc.

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Bad traffic, changed plans: Toronto braces for uncertainty of its Taylor Swift Era

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TORONTO – Will Taylor Swift bring chaos or do we all need to calm down?

It’s a question many Torontonians are asking this week as the city braces for the arrival of Swifties, the massive fan base of one of the world’s biggest pop stars.

Hundreds of thousands are expected to descend on the downtown core for the singer’s six concerts which kick off Thursday at the Rogers Centre and run until Nov. 23.

And while their arrival will be a boon to tourism dollars — the city estimates more than $282 million in economic impact — some worry it could worsen Toronto’s gridlock by clogging streets that already come to a standstill during rush hour.

Swift’s shows are set to collide with sports events at the nearby Scotiabank Arena, including a Raptors game on Friday and a Leafs game on Saturday.

Some residents and local businesses have already adjusted their plans to avoid the area and its planned road closures.

Aahil Dayani says he and some friends intended to throw a birthday bash for one of their pals until they realized it would overlap with the concerts.

“Something as simple as getting together and having dinner is now thrown out the window,” he said.

Dayani says the group rescheduled the gathering for after Swift leaves town. In the meantime, he plans to hunker down at his Toronto residence.

“Her coming into town has kind of changed up my social life,” he added.

“We’re pretty much just not doing anything.”

Max Sinclair, chief executive and founder of A.I. technology firm Ecomtent, suggested his employees avoid the company’s downtown offices on concert days, saying he doesn’t see the point in forcing people to endure potential traffic jams.

“It’s going to be less productive for us, and it’s going to be just a pain for everyone, so it’s easier to avoid it,” Sinclair said.

“We’re a hybrid company, so we can be flexible. It just makes sense.”

Swift’s concerts are the latest pop culture moment to draw attention to Toronto’s notoriously disastrous daily commute.

In June, One Direction singer Niall Horan uploaded a social media video of himself walking through traffic to reach the venue for his concert.

“Traffic’s too bad in Toronto, so we’re walking to the venue,” he wrote in the post.

Toronto Transit Commission spokesperson Stuart Green says the public agency has been working for more than a year on plans to ease the pressure of so many Swifties in one confined area.

“We are preparing for something that would be akin to maybe the Beatles coming in the ‘60s,” he said.

Dozens of buses and streetcars have been added to transit routes around the stadium, and the TTC has consulted the city on potential emergency scenarios.

Green will be part of a command centre operated by the City of Toronto and staffed by Toronto police leaders, emergency services and others who have handled massive gatherings including the Raptors’ NBA championship parade in 2019.

“There may be some who will say we’re over-preparing, and that’s fair,” Green said.

“But we know based on what’s happened in other places, better to be over-prepared than under-prepared.”

Metrolinx, the agency for Ontario’s GO Transit system, has also added extra trips and extended hours in some regions to accommodate fans looking to travel home.

A day before Swift’s first performance, the city began clearing out tents belonging to homeless people near the venue. The city said two people were offered space in a shelter.

“As the area around Rogers Centre is expected to receive a high volume of foot traffic in the coming days, this area has been prioritized for outreach work to ensure the safety of individuals in encampments, other residents, businesses and visitors — as is standard for large-scale events,” city spokesperson Russell Baker said in a statement.

Homeless advocate Diana Chan McNally questioned whether money and optics were behind the measure.

“People (in the area) are already in close proximity to concerts, sports games, and other events that generate massive amounts of traffic — that’s nothing new,” she said in a statement.

“If people were offered and willingly accepted a shelter space, free of coercion, I support that fully — that’s how it should happen.”

This report by The Canadian Press was first published Nov. 13, 2024.



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‘It’s literally incredible’: Swifties line up for merch ahead of Toronto concerts

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TORONTO – Hundreds of Taylor Swift fans lined up outside the gates of Toronto’s Rogers Centre Wednesday, with hopes of snagging some of the pop star’s merchandise on the eve of the first of her six sold-out shows in the city.

Swift is slated to perform at the venue from Thursday to Saturday, and the following week from Nov. 21 to Nov. 23, with concert merchandise available for sale on some non-show days.

Swifties were all smiles as they left the merch shop, their arms full of sweaters and posters bearing pictures of the star and her Eras Tour logo.

Among them was Zoe Haronitis, 22, who said she waited in line for about two hours to get $300 worth of merchandise, including some apparel for her friends.

Haronitis endured the autumn cold and the hefty price tag even though she hasn’t secured a concert ticket. She said she’s hunting down a resale ticket and plans to spend up to $600.

“I haven’t really budgeted anything,” Haronitis said. “I don’t care how much money I spent. That was kind of my mindset.”

The megastar’s merchandise costs up to $115 for a sweater, and $30 for tote bags and other accessories.

Rachel Renwick, 28, also waited a couple of hours in line for merchandise, but only spent about $70 after learning that a coveted blue sweater and a crewneck had been snatched up by other eager fans before she got to the shop. She had been prepared to spend much more, she said.

“The two prized items sold out. I think a lot more damage would have been done,” Renwick said, adding she’s still determined to buy a sweater at a later date.

Renwick estimated she’s spent about $500 in total on “all-things Eras Tour,” including her concert outfit and merchandise.

The long queue for Swift merch is just a snapshot of what the city will see in the coming days. It’s estimated that up to 500,000 visitors from outside Toronto will be in town during the concert period.

Tens of thousands more are also expected to attend Taylgate’24, an unofficial Swiftie fan event scheduled to be held at the nearby Metro Toronto Convention Centre.

Meanwhile, Destination Toronto has said it anticipates the economic impact of the Eras Tour could grow to $282 million as the money continues to circulate.

But for fans like Haronitis, the experience in Toronto comes down to the Swiftie community. Knowing that Swift is going to be in the city for six shows and seeing hundreds gather just for merchandise is “awesome,” she said.

Even though Haronitis hasn’t officially bought her ticket yet, she said she’s excited to see the megastar.

“It’s literally incredible.”

This report by The Canadian Press was first published Nov. 13, 2024.

The Canadian Press. All rights reserved.



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Via Rail seeks judicial review on CN’s speed restrictions

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OTTAWA – Via Rail is asking for a judicial review on the reasons why Canadian National Railway Co. has imposed speed restrictions on its new passenger trains.

The Crown corporation says it is seeking the review from the Federal Court after many attempts at dialogue with the company did not yield valid reasoning for the change.

It says the restrictions imposed last month are causing daily delays on Via Rail’s Québec City-Windsor corridor, affecting thousands of passengers and damaging Via Rail’s reputation with travellers.

CN says in a statement that it imposed the restrictions at rail crossings given the industry’s experience and known risks associated with similar trains.

The company says Via has asked the courts to weigh in even though Via has agreed to buy the equipment needed to permanently fix the issues.

Via said in October that no incidents at level crossings have been reported in the two years since it put 16 Siemens Venture trains into operation.

This report by The Canadian Press was first published Nov. 13, 2024.

Companies in this story: (TSX:CN)

The Canadian Press. All rights reserved.



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